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HomeMy WebLinkAbout2805 FOREST VIEW WAY; ; CB970871; PermitA J '. ~ " ~ A1 t l l" .._ 11 ' . , . I:'" \"tlt ·1 t '-l £· -~ A . '1i -:, I l ~ Ii t A E > • ' F, 1v E T. ,114 041 ..,N7 >OC ;1 • I . t #. 'P ... + r "y. \ T T t t l .. .. ) ['q t , 4 . A._ ' I ,,..,, : ) 4 / I l l [, r +-1;. r ' E • , • TM HAT .. '>K~N' A 7q r f' lRt \'T FvV WA" An.. F Ar , c· r ~ ~ > 1 , • f & r il * • r ' [1 ... ~ n ! p ll . l yr A1 FINAL APPROVAL INSP._ ];)o(L,~ DATE tf.7,;-i ·9/ J- CLEf,rir'\NCL: _______ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO . q70J7 1 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST.VAL. _________ ~ Plan Ck. Deposit ------,,....---- Validated BY, /!l,,,-1---- t1;JJ!\P.ROJ,ECtiNa>Rt#.oli.ON~~m.W!il.i~~W~l-'i'Jlili 2805 Forest Vi €!w Wy. Date iJ / (l [ 1 / ' Address (include Bldg/Suite I) Business Name (at this address) Legal Descriptlon Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units SFR . Assessor's Parcel I Existing Use Proposed Use Description of Work SQ. FT. lof Stories I of Bedrooms I of Bathrooms WATER HFATER REPLACEMENT 12:11:·:1T:t~~:;~o~~yclft.ieni\til!~~~~t~n~~~~~~f~~~~~y-l4~JM~m~~l'Wlrru;,£~~~;N9'~: .. ~ j· Name Address City State/Zip Telephone I f~~.o,~mow_r,1;11.:~~/l\~hf~~~ U\:f~li:•,~iJ;.~. HaJJ orao, ,Ja y 28Q5 Forest View Way CARLSBAD CA . 92008 4 34-4794 Name Address pty State/Zip Telephone I !St\13:CJ>.HT.BACJOR{;,COMe~YaiAM ~lffi1[, (Sec. 7031.5 Business end Professions Code: Any City or County which requires• permit to construct, elter, Improve, demolish or repelr any structure, prior to Its issuance, also requires the applicant for such permit to file I signed statement that he Is licensed pursuant to the provisions of the Contractor' 1 License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business end Profession• Codel or that he la exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for I permit subjects the applicant to e civil penalty of not more than five hundred dollars It 5001). A ~ J FOSTER PUJMBING J 37Q6 B HWY 8 BUS. EL CAJON CA. 92021 390-4477 Name Address City State/Zip Telephone I State License I 630120 Ucen11 Cless C-36 City Business Ucense I 1200354 Designer Name Address City State/Zip Telephone State UcenH I __ N..,.,.l~A...._ _____ _ :e:, i i;w.oRKERSl ·,CDMPENSATIOtt.,;in:..71').;~"r~r'll'i:J,-~W~: l.t~V!nL·J~~li11'':!:1l;:"Jif.l~~~..,;~·,~w.& ·~.·Jflt~"'.:,,,:.':~,; Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will m1lnteln a certificate of consent to Hlf-lnsure for workers' compen11tlon H provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. XO I have and will maintain workers' compensation, H required by Section 3700 of the Labor Code, for the perform1nce of the ~ork for which this permit Is Issued. My worker' 1 compensation Insurance carrier end policy number era: Insurance Company FARMER INSURANCE Policy No. N 2 007-56-51 Expiration Deii_-_l_-_9_7 ___ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSJ 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner 10 es· to become subject to the Workers' Compensetion Laws of Calilornla. WARNING: Fallure to Hcure•workers' compenutlon coverage 11 unlawful, and shell subject an employer to crlmlnel peneltlH end clvll fines up to one hundred thousand dollars ($100,000), In addition to the coat of compen11tlon, damages H provided for In Section 3708 of the Labqr code, lnterHt and ettomey'1 fee1 . SIGNATURE DATE---------- 7. ' · OWNER-BUILDER DECLARATION" :1~{ 1; .~}Jt.-·: ~..:) ,~, :qt,_..., ,,j;:fii_',?~·~1, ,(;; sf,rf ~~1-£.-:i:Diltfflffi"A~~~!iwm}-:.t;·{t: .. ~j ·~~f'.'·~r;:~1·, ; • I hereby affirm that I em exempt from the Contractor's License Lew for the following reeson: 0 I, es owner of the property or my employees with wages as their sole compensation, will do the work end the structure Is not Intended or offered for sale !Sec. 7044, Business end Professions Coda: The Contractor's License Lew does not apply to an owner of property who build, or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for 1111. If, however, the building or Improvement Is sold within on• yHr of completion, th• owner-builder will have the burden of proving that he did not build or Improve for the purpose of aalel. 0 I, 11 owner of the property, •m exclualvely contracting with licensed contrector1 to construct" the project ISec. 7044, Business end Professions Code: The Contractor' 1 Ucense Law do11 not apply to an owner of property who build1 or lmprov11 thereon, and contracts for such project, w ith contractor(•) licensed pursuant to th• Contractor's Ucen11 Lew). · 0 I am exempt under Section ------Buslne11 end Professions Code for this reHon: 1. I personally plen to provide the major labor end materials for construction of the propoHd property Improvement, 0 YES ONO 2. I (have I have not) signed an application for • building permit for the propoaed work: 3. I have contracted with the following person (firm) to provide the proposed construction (include name I 1ddra11 I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work llnclude name I address I phone number I contractors license numberl:---------------------------------------------- 5. I wlll provide some of the work, but I heve contracted (hired) the following persons to provide the work Indicated linclude name I address I phone number I type ofworkl: ________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ---------- ~CO~.Jli!S:SECUOf.U'QR N.ON..-MSJP.EJ:1™"•YII.DIHP1R~IT.S.'.P.NLl .. li1~t..&tism~~'.~Jm·;i.uSir~(ii'.i"1\l.·, Is the appllc•nt or future building occupent required to submit • business plan, acutely hazardous materlal1 registration form or risk management end prevention program under Sections 25605, 25533 or 25534 of th• PrHley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the 1ppllc1nt or future building occup1nt required to obtain • permit from the air pollution control district or 1lr qu1llty man1g11m11nt district? O YES O NO Is the f1cilitv to be constructed within 1,000 feet of the outer boundary of a school 11te7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8,, ~· CONSTRUCTION LENDING' AGENCY· '.ii'"• 't'~f!'#~1J~iJ, ·,!!$Zf''l,·/t '/l;f~o/if.1:/.t:}.:1'f,t~t-}~~l'ff-~~'i.ilJ!:l,i&J'jl[_1l[@f~r~~\:•~··t, ., \' ; -~-. :: : I hereby affirm that there is e construction lending egency for the performance of the work for which thla permit Is Issued (Sec. 3097(1) Civil Codel. LENDER'S NAME·--------~------LENDER'S ADDRESS------------------------, .. ~ .. · I certify that I have read the application and state that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all Citv ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Cerlsbed to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep end demolition or construction of 1tructure1 over 3 stories In height. EXPIRATION: Every permit issued by the Building Offlcl1I under the provialona of this Code shall expire by llmlt1tlon and become null end void if the building or work authorized by such permit Is t commenced within 365 days from the date of such permit or If the building or work 1ut orized by such permit Is suspended or abandoned 11 any time after the ork I commenced f I period of 160 day (Section 106.4.4 Uniform Building Code) WHITE: FIie YELLOW: Applicant PINK: Finance .. PERMIT# CB970871 DESCRIPTION: WATER HEATER TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 04/22/97 REPLACEMENT JOB ADDRESS: 2805 FOREST VIEW WY APPLICANT: HALLORAN, JAY CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PLANCK# CB970871 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 434-4794 REMARKS: RS/JOSEPH/434-4797 SPECIAL INSTRUCT: INSPECTOR~~'~~~~~~~~~~~ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 25 PL Water Heater/Vents A9£1~AV ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS